Provider Demographics
NPI:1295773042
Name:FREEDBERG, MARGO J (DMD)
Entity type:Individual
Prefix:DR
First Name:MARGO
Middle Name:J
Last Name:FREEDBERG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:475 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1005
Mailing Address - Country:US
Mailing Address - Phone:973-376-1144
Mailing Address - Fax:973-376-7339
Practice Address - Street 1:475 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1005
Practice Address - Country:US
Practice Address - Phone:973-376-1144
Practice Address - Fax:973-376-7339
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI020233001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery